A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply.)
Striae gravidarum
Chloasma
Linea nigra
Eczema
Psoriasis
Correct Answer : A,B,C
Explanation:
A. Striae gravidarum: Also known as stretch marks, striae gravidarum are common during pregnancy due to the stretching and thinning of the skin as the uterus expands. They often appear as pink or purple streaks on the abdomen, breasts, hips, and thighs.
B. Chloasma: Chloasma, also called the "mask of pregnancy," refers to hyperpigmented areas on the face, typically appearing as brown patches on the cheeks, forehead, and upper lip. It is caused by hormonal changes during pregnancy and increased melanin production.
C. Linea nigra: Linea nigra is a dark line that develops vertically along the midline of the abdomen during pregnancy. It is caused by hormonal changes and increased pigmentation, and it typically fades after childbirth.
D. Eczema: Eczema, a skin condition characterized by red, itchy, and inflamed patches, may or may not be directly related to pregnancy. Some women may experience flare-ups of eczema during pregnancy due to hormonal changes or other factors, but it is not specific to the second trimester.
E. Psoriasis: Psoriasis, another skin condition characterized by red, scaly patches, may also flare up during pregnancy for some individuals. However, like eczema, it is not specific to the second trimester and can occur at any time.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation:
A. Drowsiness: Mild drowsiness is a common side effect of magnesium sulfate therapy and is not necessarily indicative of toxicity. However, severe drowsiness or lethargy can be a sign of magnesium toxicity and should be reported to the provider.
B. Facial flushing: Facial flushing is a common side effect of magnesium sulfate administration and is generally not a sign of toxicity. It is often accompanied by warmth and redness of the skin but is not considered a serious adverse reaction.
C. Nausea: Nausea is another common side effect of magnesium sulfate therapy and is usually mild and transient. It is not typically indicative of toxicity unless it is severe and persistent.
D. Respiratory depression: Respiratory depression is a critical sign of magnesium toxicity. Excessive levels of magnesium can affect neuromuscular function, leading to respiratory muscle weakness and depression. This can result in shallow or slowed breathing, decreased oxygenation, and potential respiratory failure. Respiratory depression is a serious complication that requires immediate intervention, and the nurse should report it to the provider promptly.
Correct Answer is C
Explanation
Explanation:
A. "A gain of about 1 pound per week is the best pattern for you."
This response suggests a weight gain pattern rather than a total recommended weight gain for the entire pregnancy. A gain of about 1 pound per week would typically align with the recommended weight gain for individuals with a normal pre-pregnancy BMI (Body Mass Index). However, for someone with an overweight BMI (BMI 25 to 29.9), this rate of weight gain might be higher than the recommended range. Therefore, it may not be the best pattern for the client with a BMI of 26.5.
B. "It would be best if you gained about 11 to 20 pounds."
This response provides a weight gain range that is more appropriate for individuals with an obese BMI (BMI 30 or higher) rather than those with an overweight BMI. The recommended weight gain for someone with an overweight BMI is higher than 11 to 20 pounds. Therefore, this response underestimates the recommended weight gain for the client with a BMI of 26.5.
C. "The recommendation for you is about 15 to 25 pounds."
This response aligns with the recommended weight gain range for individuals with an overweight BMI (BMI 25 to 29.9). According to the Institute of Medicine (IOM) guidelines, the recommended weight gain for someone with an overweight BMI is about 15 to 25 pounds during pregnancy. This choice accurately reflects the appropriate recommendation for the client with a BMI of 26.5.
D. "A gain of about 25 to 35 pounds is recommended for you."
This response suggests a weight gain range that is more appropriate for individuals with a normal pre-pregnancy BMI (BMI 18.5 to 24.9). The recommended weight gain for someone with an overweight BMI is lower than 25 to 35 pounds. Therefore, this response overestimates the recommended weight gain for the client with a BMI of 26.5.
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